1. The Joint Health and Wellbeing
Strategy
Presentation to Full Council
8 January 2014
Joe Fowler, Director of Commissioning, Sheffield City Council
joe.fowler@sheffield.gov.uk
Tim Furness, Director of Business Planning and
Partnerships, NHS Sheffield CCG t.furness@nhs.net
2. 1. The Health and Wellbeing Board
2. The Joint Strategic Needs
Assessment
3. The Joint Health and Wellbeing
Strategy
4. Engaging with Sheffield people
4. Sheffield’s Health and Wellbeing Board
Statutory Council committee that meets formally in
public every three months but carries out a range of
engagement work throughout the year.
Organisations represented on the Board: Sheffield City
Council, NHS Sheffield Clinical Commissioning
Group, NHS England, Healthwatch Sheffield.
Co-chaired by Councillor Julie Dore and Dr Tim
Moorhead, Chair of Sheffield CCG.
5. The role of a Health and Wellbeing Board
Provide leadership, direction and oversight of the
health and wellbeing of Sheffield’s population and the
services that are delivered. This includes working on
integrating health and social care and reducing health
inequalities.
Commission and approve the Joint Strategic Needs
Assessment, and agree a Joint Health and Wellbeing
Strategy. This involves planning together and discussing
each organisation’s commissioning proposals so that
they are in line with the Strategy.
Work with Healthwatch Sheffield to understand the
needs and experiences of Sheffield people.
6. How the Health and Wellbeing Board
brings about change in Sheffield
Influence: being the lead for health and wellbeing
policy in Sheffield, known by and able to work with
and connect a range of city-wide partners.
Commissioning: the Board has the role of assessing
the commissioning/budget plans for the Clinical
Commissioning Group and Sheffield City Council.
Through its Strategy it sets the direction.
Work programmes: focused work in a few specific
areas, such as Health, Disability and Employment or
Food and Physical Activity.
8. The Joint Strategic
Needs Assessment
(JSNA) is the means
by which we assess
the current and
future health, care
and wellbeing
needs of the local
population.
9. Key JSNA themes
The wider determinants of health have a real impact on overall
health. Of particular concern is poverty and welfare reform.
Mental health and wellbeing is a huge issue. Social isolation is
particularly a problem, but due to the very nature of isolation, it
is difficult to assess need.
Health inequalities remain a problem. Health interventions
must prioritise ‘at risk’ groups and communities if health
inequalities are to be reduced.
The infant mortality rate has been slowly rising, widening the
gap with national outcomes.
It is not only important to assess need, but also assets. We need
to map assets in the city and in the city’s communities and build
on these.
Whilst experience of health services seems to be good,
knowledge of services and access appears to be an issue.
11. What is a Joint Health and Wellbeing
Strategy?
Joint Strategy with the Board’s
four partner organisations:
Sheffield City Council, NHS
Sheffield Clinical Commissioning
Group, NHS
England, Healthwatch Sheffield.
Strategy to begin to address
some of the health and wellbeing
issues Sheffield faces, based on
the evidence of the JSNA.
Aim to be aspirational but also
realistic.
12. The Strategy’s outcomes
1. Sheffield is a healthy and successful city
2. The health and wellbeing of people in Sheffield is improving all
the time
3. Health inequalities are reducing
4. People can get health, social care, children’s and housing
services when they need them, and they’re the sort of services
they need and want
5. The health and wellbeing system in Sheffield is
affordable, innovative and delivers excellent value for money
13. How the Strategy will make a
difference (1): Integration of Health
and Social Care
This involves:
Developing new and supporting
existing projects and services that work
in and with local communities and
professionals.
Bringing health and social care services
and budgets together in areas where it
would achieve better outcomes for
Sheffield people and value for money.
Establishing a Joint Commissioning
Executive to oversee the work.
14. How the Strategy will make a
difference (2): Working to reduce
health inequalities
We have:
Actions in the Strategy that aim to address this, such as:
Work with partners to ensure a shared approach to building
and strengthening Sheffield’s communities.
Identify those groups which find it difficult to access the care
and support they need and work to address this.
Ensure every child has the best possible start in life.
Work to improve health barriers to employment.
Discussed the Fairness Commission’s objectives and
work in our public meetings, including discussing the
issues publicly with Rt Hon Andy Burnham MP and
Professor Alan Walker.
15. How the Strategy will make a
difference (3): A focus on the wider
determinants of health
This includes:
Working to understand what a
range of areas contribute to
health and wellbeing, such as
education, employment, planni
ng, licensing, housing, environ
ment.
Work with the Sheffield
Executive Board and Local Area
Partnerships on health and
wellbeing approaches in the
local community.
17. What we do
1. Events and public meetings.
We meet at least once every three
months. At our formal meetings
members of the public can ask
questions. At our less formal meetings
members of the public are invited to
meet and talk with Board members.
2. Communication.
We send out a monthly e-bulletin and
are active on Twitter and LinkedIn.
We also attend meetings and Boards to
talk about the work of the Health and
Wellbeing Board.
18. 3. Consultation
The JSNA and the
Strategy were
informed by
engagement and
discussion with
Sheffield
people, communitie
s and organisations:
hosting
events, attending
meetings, and
having online
questionnaires.
19. Find out more
www.sheffield.gov.uk/healthwellbeingboard where you
can find information about Board
members, meetings, events, strategies and how to sign up
to the monthly e-bulletin
www.twitter.com/sheffieldhwb
Contact for further information and questions:
louisa.willoughby@sheffield.gov.uk
Notas del editor
Councillors may ask questions about what actions are under each outcome – but the next two slides look at two specific examples.
Four JSNA events Jan-Mar 2013Consultation (summer 2013) reached over 1,500 people through events, focus groups, online questionnaire, public feeding back to the HWB – also did a consultation in summer 2012